Cape Fear Sports Medicine Pa

LBN: Cape Fear Sports Medicine Pa
Cape Fear Sports Medicine Pa is an health care organization with primary practice located at 6019 Oleander Drive Suite 200, Wilmington NC 28403. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Cape Fear Sports Medicine Pa can be contacted via phone (910) 790-9714, or through Boyd, Dale via phone (910) 790-9714.

Contact Information

Primary practice address
6019 Oleander Drive Suite 200 Wilmington NC 28403
Phone: (910) 790-9714
Fax: (910) 791-1063
Website:
Map and Directions
Authorized official contact:
Name: Boyd, Dale Doctor of Medicine (MD)
Phone: (910) 790-9714

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 35845 North Carolina

Profile Details

NPI number 1861670929
LBN Legal business name Cape Fear Sports Medicine Pa
DBA Doing business as
Authorized official Boyd, Dale Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2008
Last updated Oct 6th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861670929 NPPES
North Carolina MEDICAID 8917205

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